1 associated location — data as of November 11, 2026
Critical access hospital · Lakeport, CA
Adventist Health Medical Office Lakeport - Primary and Speciality Care
Filed under Adventist Health Clearlake Hospital, Inc., which files the Medicare cost report for this system.
Taking partYesLast certifiedAugust 19, 2026
- 0Registered locations
- 1Associated locations
- 0Contract pharmacies
- 0With no end date
- October 1, 2019In 340B since
Adventist Health Medical Office Lakeport - Primary and Speciality Care among California Critical access hospital registrations
California has 125 active Critical access hospital registrations in the HRSA 340B register. CAH051317-11 began participating on October 1, 2019; 79 of the California registrations of its type began earlier. Lakeport has 7 active registrations of every type.
Other 340B registrations in Lakeport
- Adventist Health Clearlake Hospital, Inc.: Critical access hospital, CAH051317-14, participating since January 1, 2027
- Adventist Health Clearlake Hospital, Inc.: Critical access hospital, CAH051317-15, participating since January 1, 2027
- Lake County Tribal Health Consortium Inc.: Tribal contract or compact with IHS (P.L. 93-638), FQHC638009B, participating since January 1, 2017
- LAKE COUNTY TRIBAL HEALTH CONSORTIUM, INC: Tribal contract or compact with IHS (P.L. 93-638), FQHC638009, participating since January 1, 1995
- MENDOCINO COMMUNITY HEALTH CLINIC, INC.: HRSA-funded health center, CH09194B, participating since April 1, 2011
- Sutter Bay Hospitals, dba Sutter Lakeside Hospital: Critical access hospital, CAH051329-00, participating since October 1, 2017
Across Adventist Health Clearlake Hospital, Inc., 50 contract pharmacies are on file. This location is filed at 801 11th Street, Lakeport CA 95453.
Finances, as filed
This record is a location registered under Adventist Health Clearlake Hospital, Inc., which files the Medicare cost report. The finances are on that record.
Community benefit, as filed
This record is a location registered under Adventist Health Clearlake Hospital, Inc.. Community benefit is on that record.
Executive and director compensation, as filed
This record is a location registered under Adventist Health Clearlake Hospital, Inc.. Executive and director compensation is on that record.
Get an email when a record in this system changes
One email a day naming what moved on Adventist Health Clearlake Hospital, Inc. and every record registered under it: the field, the value before, the value after, and the date of the file that first showed it.
On September 15, 2026, NPI changed from 1124018031 (CA), 1871063040 (CA) to 1124018031 (CA,HI,OR,WA), 1285054106 (HI,OR,WA), 1417027095 (HI,OR,WA), 1477104099 (HI,OR,WA), 1871063040 (CA), 1912092792 (HI,OR,WA). That is one line of the daily email.
Changes recorded
| Date first shown | Field | Was | Now |
|---|---|---|---|
| September 15, 2026 | NPI | 1124018031 (CA), 1871063040 (CA) | 1124018031 (CA,HI,OR,WA), 1285054106 (HI,OR,WA), 1417027095 (HI,OR,WA), 1477104099 (HI,OR,WA), 1871063040 (CA), 1912092792 (HI,OR,WA) |
Register detail and identifiers
Participation, as filed
- Participating
- TRUE
- Participation start date
- October 1, 2019
- Certification date
- August 19, 2026
- Record last edited
- September 14, 2026
Identifiers
- 340B ID
- CAH051317-11
- Entity type as filed
- CAH
- CMS certification number
- 051317
- NPI
- 1124018031 (CA,HI,OR,WA), 1285054106 (HI,OR,WA), 1417027095 (HI,OR,WA), 1477104099 (HI,OR,WA), 1871063040 (CA), 1912092792 (HI,OR,WA)
- Rural
- Yes
801 11th Street, Lakeport CA 95453
Associated locations
| Adventist Health Medical Office Lakeport - Primary and Speciality Care | 801 11th Street | Lakeport CA 95453 |
Every figure on this page is printed as it appears in the HRSA 340B OPAIS Covered Entity Daily Report, file 340B_CoveredEntity_Daily_20261111_071012.xlsx, stamped by its publisher November 11, 2026. This record has been read here since September 6, 2026.
How this page was built: the HRSA 340B OPAIS Covered Entity Daily Report, file 340B_CoveredEntity_Daily_20261111_071012.xlsx, read November 11, 2026.